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Navy Medicine issues Zika virus infection guidance

The aedes albopictus mosquito is the primary carrier for the chikungunya virus, also known as CHIK, in the temperate climates of the United States. While Joint Base Myer-Henderson Hall officials test regularly for the presence of West Nile Virus in local mosquitoes, joint base residents can take a number of preventative steps to help stem mosquito breeding and activity near residences on the joint base. (U.S. Army photo)

The aedes albopictus mosquito is the primary carrier for the chikungunya virus, also known as CHIK, in the temperate climates of the United States. While Joint Base Myer-Henderson Hall officials test regularly for the presence of West Nile Virus in local mosquitoes, joint base residents can take a number of preventative steps to help stem mosquito breeding and activity near residences on the joint base. (U.S. Army photo)

2/11/2016
From U.S. Navy Bureau of Medicine and Surgery Public Affairs

FALLS CHURCH, Va. (NNS) -- Navy Medicine released Zika Virus Infection guidance in NAVADMIN 032/16, Feb. 10, communicating force health protection measures and travel precautions to Navy and Marine Corps personnel
"Our first priority is to ensure we offer the best possible care to any Navy Medicine patient in the safest way possible," said Cmdr. Eric Deussing, head, U.S. Navy Bureau of Medicine and Surgery (BUMED) public health, emergency preparedness and response.
BUMED has instructed Navy Medicine providers to follow guidelines issued by the Centers for Disease Control and Prevention (CDC). In addition, Navy Marine Corps Public Health Center issued an information sheet and trifold pamphlet on their public website for Navy and Marine Corps personnel.
"We are closely monitoring the situation and collaborating with our public health partners to protect our patients and our communities," said Deussing.
Zika is a viral infection spread by mosquito bites. The virus is spread by a bite from an infected mosquito or possibly by a mother to her fetus during pregnancy. According to the CDC, spread of the virus through blood transfusion and sexual contact has also been reported. Typical symptoms include fever, conjunctivitis, muscle pain, rash, headache, and joint pain.
Recently, Zika virus infections in pregnant women have been linked to infants born with birth defects. Zika virus transmission is predominantly occurring in South and Central America, Mexico, and the Caribbean.
Navy and Marine Corps personnel are at risk when travelling to areas experiencing ongoing Zika virus transmission. Infection risk is reduced by taking measures to avoid mosquito bites.
"Prevention amongst the Navy and Marine Corps personnel is paramount," Deussing said. "The most effective way to prevent infection is avoiding unnecessary travel to Zika affected areas. If traveling to Zika affected areas, avoid mosquito bites."
No vaccine or drug is currently available to prevent Zika virus infection, and there is currently no specific anti-viral treatment for the disease. The best way to prevent infection is to avoid mosquito bites while in areas of ongoing transmission. Mosquitoes that spread Zika virus bite mostly during the daytime, but bites should be avoided day and night.
Until more is known, and out of an abundance of caution, the CDC recommends pregnant women consider postponing travel to any area where Zika virus transmission is occurring -- currently in the Western Hemisphere. Pregnant women, or women trying to become pregnant, who do travel to these areas should talk to their health care provider first, and they should take strict steps to avoid mosquito bites during the trip.
The following steps are recommended for those traveling to an area with ongoing Zika virus transmission:
* Choose a hotel or lodging with air conditioning or with screens on windows and doors.
* Sleep under a mosquito bed net if you are outside or in a room that is not well screened.
* Cover exposed skin by wearing long-sleeved shirts and long pants.
* Use EPA-registered insect repellents containing DEET, picaridin, or IR3535. These are safe for pregnant women when used as directed.
* Use permethrin-treated clothing and equipment.
"If you or someone you know develops sudden fever, rash, joint aches, or red, irritated eyes within two weeks of travelling to an area of ongoing Zika virus transmission, see your Navy Medicine health care provider immediately, and report your symptoms and travel history," Deussing said.
Navy Medicine is a global health care network of 63,000 personnel that provide health care support to the U.S. Navy, Marine Corps, their families and veterans in high operational tempo environments, at expeditionary medical facilities, medical treatment facilities, hospitals, clinics, hospital ships and research units around the world.

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TRICARE pharmacy changes effective now
Several changes to the TRICARE pharmacy benefit take effect on Feb. 1. First, copays for drugs filled at retail pharmacies and TRICARE Pharmacy Home Delivery increase slightly. Second, TRICARE Over-the-Counter (OTC) drug coverage becomes a full and permanent part of the TRICARE benefit, requiring that beneficiaries pay the usual generic copays.
If you get your drugs from a military pharmacy, or use Home Delivery to get a generic drug, you will still pay $0. To view all the new copays, visit www.tricare.mil/pharmacycosts.
TRICARE OTC coverage also changes now that it is a full and permanent part of TRICARE pharmacy coverage, not a demonstration project. The biggest change is that the usual generic copays now apply for OTC drugs. This means that OTC drugs you get at a military pharmacy or through Home Delivery will still have no cost, but if you use a retail pharmacy, you will pay $10 for a 30 day supply.
Different OTC drugs will be available as well. Versions of Cetirizine and Loratadine that include pseudoephedrine are now covered, but Prilosec OTC is no longer covered. For more information about the OTC benefit, please visit TRICARE.mil

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San Diego military news
SPAWAR, San Diego law enforcement partner during force protection exercise
2/5/2016
by Tina C. Stillions,
Space and Naval Warfare Systems Command Public Affairs

SAN DIEGO (NNS) -- Space and Naval Warfare Systems Command (SPAWAR) partnered with local law enforcement agencies in San Diego during a force protection exercise, Feb. 4.
"Today's drill was part of training to improve our own reactions and improve our coordination with local law enforcement agencies," said Rear Adm. Dave Lewis, SPAWAR's commander. "From my experience, today's training on run-hide-fight was right on the mark."
The force protection team included the San Diego Police Department's (SDPD) Emergency Negotiations Team (ENT). A unique, hybrid team of negotiators, the team is comprised of members from the SDPD, Federal Bureau of Investigation and Naval Criminal Investigative Service.
"We've worked collaboratively for many years to provide enhanced service capable of seamlessly crossing jurisdictional boundaries between the city, federal government and military," said San Diego Police Department Northwestern Investigations and Emergency Negotiations Team Sergeant Wes Albers. "The team has participated in joint military training operations for a number of years on bases all around San Diego."
Yesterday's training operation at SPAWAR, which also included members of the SDPD SWAT team and Western Division patrol officers, represented a significant collaborative step toward ensuring the safety of local citizens and further strengthened the security net that protects those who provide essential support to American assets deployed around the world.
During the scenario, personnel were instructed to either shelter in place or evacuate to another location, utilizing the run-hide-fight technique developed and approved by myriad federal agencies, including the Department of Homeland Security.
"We've provided tours for local law enforcement over the past few months to improve their familiarity with the specifics of our facility," said Lewis. "Today's exercise reinforced the effort to ensure we're all on the same page and prepared. After the training, I encouraged everyone to take the time to think about their individual work spaces and any actions they would take in the event of an active shooter scenario. "
The command occupies a facility that dates back to World War II when B-24 bombers were manufactured in San Diego. The main buildings are located across a sprawling complex. In many ways, they still resemble an industrial manufacturing plant, with concrete floors, high bays, ceiling windows and hangar doors from which bomber planes emerged. In an emergency scenario, the vast, cavernous complex creates a greater challenge for safety and security due to its size and vast expanse of office spaces. The force protection exercise was organized to assess any necessary facility improvement requirements beyond those already implemented or planned to help thwart these types of incidents said Lewis.
"Recent events worldwide have shown that there are no infrastructures immune from an attack," said Lt. William Carter, San Diego Police Department, Western Division. "An immediate mutual aid response by law enforcement and the ability to work together to stop a threat is critical to saving lives. The San Diego Police Department appreciates and welcomes the opportunity to prepare and train for critical incident response with our regional military security and DOD law enforcement. Despite being one of America's safest large cities, the San Diego Region must remain vigilant and prepared."
As the Navy's Information Warfare systems command, SPAWAR designs, develops and deploys advanced cyber communications and information capabilities. With more than 9,600 active-duty military and civil-service professionals located around the world and close to the fleet, SPAWAR is at the forefront of research, engineering, acquisition and support services that provide vital decision superiority to our forces from seabed to space.

National Military News

Black History Month graphic
Navy celebrates 2016 African American/Black History Month
From Navy Office of Information
WASHINGTON (NNS) -- Throughout the month of February, the Navy joins our nation in celebrating the history and culture of African-American and Black Sailors during African-American/Black History Month.
Established in 1926, President Gerald R. Ford expanded the celebration in 1976 to include the entire month of February. This year, Navy commands are encouraged to celebrate and reflect on the theme "Hallowed Grounds: Sites of African American Memories."
"Our past is our history and our future is our destiny," said Victoria Bowens, Department of the Navy director for diversity and inclusion. "We must look at what worked, what did not work and how we can improve our efforts in promoting inclusion to optimize our results to achieve mission success."
From port cities where Africans disembarked from slave ships to the battle fields where their descendants fought for freedom, from the colleges and universities where they pursued education to places where they created communities during centuries of migration, the imprint of Americans of African descent is deeply embedded in the narrative of the American past.
USS Mason (DE 529), manned by a predominantly African American crew came under dire conditions during WWII in heavy weather when Mason's deck split, threatening the structural integrity of the ship. The crew made emergency repairs allowing the ship to continue its convoy operations. In 1994, President Clinton awarded commendations to the 67 surviving crew members.
USS PC 1264 was a submarine chaser built during World War II. She was one of only two U.S. Navy ships to have a predominately African-American enlisted complement during the war, the other being the Evarts-class destroyer escort USS Mason (DE 529). PC 1264 was in service for less than two years, but the performance of her crew--and of the USS Mason's--caused the U.S. Navy to reevaluate the role of African American Sailors. Legion of Merit, Bronze Star, Meritorious Service Medal and Navy Commendation Medal winner Vice Admiral Samuel L. Gravely served aboard the PC 1264 during the war, paving the way for future African American Navy leaders.
The USNS Carl Brashear (T-AKE 7) was named for Master Chief Boatswain's Mate Carl M. Brashear (1931-2006). Brashear's career spanned more than four decades and exemplifies outstanding service and dedication. Brashear enlisted in the Navy in February 1948 and qualified as a First Class Diver in 1964. In 1965, while recovering atomic bombs off the coast of Spain, Brashear sustained injuries which eventually required the amputation of his leg. Despite his injuries, he became recertified in March 1968 as a diver, the first amputee to serve as such in the Navy, and in 1970, Brashear became the first African-American master diver in the Navy.
In April 2009, Vice Adm. Michelle Howard commanded CTF-151, a multinational task force established to conduct counter-piracy operations in the Indian Ocean when the U.S.-flagged M/V Maersk Alabama container ship was hijacked by pirates off the Somali coast. Howard and twelve U.S. naval forces coordinated the rescue of the ship and its crew including Captain Richard Phillips, who had been kidnapped and held hostage in a lifeboat.
African-Americans continue to serve with distinction, now comprising almost 19 percent of our active duty enlisted force, 8 percent of our active duty officers and 5 percent of our flag officers. The Navy continues to do outreach toward African American youth in order to ensure a diverse pool of people and backgrounds comprises the best talent possible.
Sailors and their commands are encouraged to use this month to celebrate and recognize the exceptional and distinctive contributions and the unique histories and cultures that our African-American shipmates bring to our Navy.
More information on the many milestones achieved by black Sailors and the history of the African-American Navy experience can be found at the Naval History and Heritage Command at
www.history.navy.mil/browse-by-topic/diversity/african-americans.html.
A complete educational presentation, including a downloadable educational poster on African American/Black History month, can be requested from the Defense Equal Opportunity Management Institute (DEOMI) by email at deomipa@us.af.mil.

San Diego Navy Welcome Home
Coastal Riverine Squadron 3 returns from deployment
2/4/2016
From Coastal Riverine Group One Public Affairs

SAN DIEGO (NNS) -- Sailors assigned to Coastal Riverine Squadron 3 (CRS-3), based out of Naval Outlying Landing Field Imperial Beach, California, returned home, Feb. 2 and 3, following a six-month deployment supporting operations in U.S. Navy Central Command.
During the deployment, the 450 Sailors completed a variety of missions to include maritime domain awareness, seaward and landward security, and unmanned aerial vehicle operations. Additionally, Sailors provided tactical air control and aircraft security teams during their deployment.
CRS-3 participated in operations in the U.S. Central Command area of operations, including Kuwait, Bahrain, and the United Arab Emirates. In addition, during this deployment Sailors of CRS-3 supported U.S. European Command and U.S. Africa Command operating out of Rota, Spain, and conducted missions in Panama in support of U.S. Southern Command.
CRS-3 is part of Coastal Riverine Group 1 (CRG-1), whose primary mission is to man, train, and equip subordinate forces for tasking as assigned in the required operational capability and projected operational environment.
CRG-1 works in an extremely high operational tempo deploying squadrons in Djibouti and Bahrain while conducting high value unit escorts in San Diego; Bangor, Washington, and Guam.
The Coastal Riverine Forces deliver near shore littoral sea control of the coastal and riverine environment, effectively bridging blue water and landward operations and denying the use of these areas to hostile forces.

Billet Based Distribution
BBD is here: What you need to know
1/28/2016
From Navy Personnel Command Public Affairs

MILLINGTON, Tenn. (NNS) -- The Navy announced Jan. 28 that Billet Based Distribution (BBD) will be implemented February 2016 in NAVADMIN 016/16.
BBD will enable the Navy to more efficiently assign personnel in support of warfighting readiness and match Sailors to specific billets based on rate, rating and Navy Enlisted Classification (NEC).
The new functionality is being added into the Career Management System - Interactive Detailing (CMS-ID), but Sailors will continue to apply for jobs the same way they do now.
"Although the process behind the scenes will change, Sailors will not have to learn a new system to negotiate for PCS orders. To fleet Sailors, the upgrades will be transparent and seamless," said Rear Adm. Ken Whitesell, assistant commander for Career Progression, Navy Personnel Command (NPC). "Ultimately, BBD will help drive improved personnel readiness across the Fleet."
BBD will allow command personnel managers, detailers and placement coordinators to more reliably assess a vacant position's impact on readiness.
Specific goals include:
* The alignment of every enlisted Sailor, who is available for assignment, to a Navy position.
* A system that has the tools and accurate demand signal needed to maximize rating and Critical Navy Enlistment Classification (NEC) "Fit"
* The capability to better use available Permanent Change of Station (PCS) and Temporary Duty under Instruction (TDI) funds.
* The capability to forecast future fleet vacancies which will lead to better Sailor and fleet customer service.
* The foundation for an improved assignment process.
The first BBD enlisted requisition will run Feb. 5. Additionally, the February cycle of CMS-ID, which will use the new BBD capability, will be open for fleet applications Feb. 12.
To ensure they are placed in the right job, Sailors should review their records often for accuracy - especially for the NECs they hold to ensure accurate information for the detailing process.
The implementation of BBD requires all fleet users to resubmit paperwork for access. Enlisted Sailors who are negotiating for orders don't need to take any action. Leaders, personnel managers and others who require access for any other reason can send their requests now. Guidance on filling out and submitting paperwork can be found on the NPC BBD web page click here.

San Diego Navy news
PACIFIC OCEAN (Jan. 22, 2016) Amphibious assault ship USS Boxer (LHD 4) approaches fleet replenishment oiler USNS Guadalupe (T-AO 200) in preparation for a replenishment at sea (RAS). Boxer is currently underway conducting routine training exercises and maintenance in preparation for its upcoming deployment. U.S. Navy photo by MC3 Michael T. Eckelbecker.
PACIFIC OCEAN (Jan. 22, 2016) Amphibious assault ship USS Boxer (LHD 4) approaches fleet replenishment oiler USNS Guadalupe (T-AO 200) in preparation for a replenishment at sea (RAS). Boxer is currently underway conducting routine training exercises and maintenance in preparation for its upcoming deployment. U.S. Navy photo by MC3 Michael T. Eckelbecker.


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